San Francisco, CA

May 30-June 2, 2013

Jennifer Watkins, MN State President, CTR

Job Task Analysis every 5-7 years

Last one 2004

Hourly wage increased from $47,968 in 2005 to $62,232 in 2012

29.7% Change!

s4.4 and 4.5

Measures in DevelopmentGI: At least 15 RLN are pathologically

examined following resection for gastric cancer.

Lung: LN resction in non-small cell lung ca

Gynecologic Oncology: Measure workgroup being formed

Critical steps to CollaborationDevelop a common understanding of

Purpose, Terminology & External Requirements

Routine Meetings

Joint participation on quality improvement initiatives.

Use outside tools to compare your facility with others

Medicare.gov website

http://hospitalcompare.hhs.gov

DATA IS POWER!

Use the NCCN Guidelines

We can help the clinician by;Making Staging Card, laminate and give to

doctors

When sending tx request put, “This pt is part of Clinical Study”, “1st, 2nd, 3rd Request….” Essentially any cases we are doing can be

considered a clinical study because data is used for statistics

When making presentation slide or charts for information request add the following under the title

“Prepared by the Tumor Registry Staff”Letting them know we are THERE and this is

where they can get this information!

“If You Prepare It. It will be Used!”

Share your data with Finance Department

476 Accredited Centers

173 Centers in Process

S 1.3- Evaluation and Management guidelines

S 2.3- Breast Conservation

S 2.8- Diagnostic Imaging

S 2.12- Radiation oncology

S 2.15- Support and Rehabilitation

S 3.2- Clinical Trail Accrual

S 5.1- Breast Center Staff Education

Required for Compliance in 2014S 2.7- Pathology ReportsS 6.1- Quality and Outcomes

Still on Hold S 6.2- Quality Improvement

Requires data collectionCommittee met on April 10, 2013

Staff Retention/RecruitmentFinancial compensationHealth BenefitsFlexible work arrangement to promote good

work/life balanceRewards and Recognition ProgramsAvailability to work Remotely

Advantages of Working RemotelyNo commuteGreater work/life balance for employeesLess expenses requiredGreater productivity due to less

interruptionsHappier employees which means a greater

retention of high quality staff

QOPI: Quality Oncology Practice Initiative

A set of measures geared for the outpatient chemotherapy clinic or practice, designed as a tool for performance improvement

Important because they help with Quality and Career Development!

You can look online for 100+ ideas for studies, put it up at Cancer Committee and let them pick.

Institute of Medicine recommends each cancer pt receive a tx summary and surviorship care plan (TS/SCP)

Colorado Central Cancer Registry did a pilot program which used cancer registry data to pre-populate TS/SCPs

Templates developed for breast and colorectal cancers

Web-based Module developed; which connects oncology providers to pre-populated, interactive templates.

2015 Implementation of Treatment Summary & Survivorship Care Plan

WEBPLUS is a good tool Purpose: Find areas of improvement for

both web-based application and templates17 Plans developed---13 delivered---9

patients interviewed and 6 nurses interviewed

Nurses loved it!100% of Patients would recommend it!

Meaningful use is using certified HER technology to: Improve population and public health

Use of certified HER technology for electronic exchange of health information to improve quality of health care, example E-prescribing

CS Education website has the built in Youtube videos so you can still see them even if your place of work has strict Firewalls!

Stage Coach on Youtube; Canswer Forum questions, youtube style!

Use Youtube.com to find answers!!Go to AJCC Channel

www.youtube.com/ajccancer

Benefits include:Allows expedited data entryEnables accredited cancer programs to

report data on pt’s concurrentlyProvides hospitals timely notification of

treatment expectations

Alexander Von Winiwarter (1848-1916)Arguably the First Cancer Statistician

Studied records and outcomes of 548 cancer pts treated by famous German surgeon, Theodor Billroth between 1867 and 1976

Published “Statistics of Carcinoma in 1878. Credited with idea of classifying tumors by their

site of origin Developed the concept cure rate by years and,

indeed, that cure was possible Probably responsible for establishing 5 year

survival as the measure of curability

NCRA Annual Conference 2013 ManualConference Proceedings

THANK YOU!!

I hope you enjoyed this recap of what I learned. My hope is that some of this will help you in your profession! ~Jennifer

Watkins, CTR MN State President